| NPI | 1487010708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: LA 6252) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: LA 6252) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2022-09-02 |